HESI RN
Wgu RN HESI Pharmocology Questions
Extract:
Question 1 of 5
A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
Correct Answer: B
Rationale: Involuntary movements (
B), such as tardive dyskinesia, are a serious, potentially irreversible metoclopramide side effect (matches 55-Q5/12). Diarrhea (
A) and irritability (
D) are less severe. Nausea (
C) is the treated condition.
Question 2 of 5
Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?
Correct Answer: C
Rationale: A calcium level of 14 mg/dL indicates hypercalcemia (normal: 9-10.5 mg/dL). Holding both calcitriol and calcium carbonate (
C) and contacting the provider prevents worsening hypercalcemia. Administering either (A, B,
D) risks complications like arrhythmias or kidney stones.
Question 3 of 5
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?
Correct Answer: C
Rationale: Ginkgo biloba increases bleeding risk with aspirin/NSAIDs (
C), a critical interaction (matches 55-Q39/52). Nausea/diarrhea (
A) and anxiety/headaches (
B) are less severe. Pregnancy restrictions (
D) are secondary unless applicable.
Question 4 of 5
Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?
Correct Answer: D
Rationale: Codeine causes drowsiness, increasing fall risk. Instructing assistance when ambulating (
D) is the priority for safety. Notifying about pain (
A), onset time (
B), and stool softeners (
C) are secondary.
Question 5 of 5
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?
Correct Answer: C
Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation (matches 55-Q28). Removing patches (
C) stops further absorption. Oxygen (
A) or naloxone (
B) may follow. Blood pressure (
D) is secondary.